Department of Community and Preventive Dentistry, Faculty of Dentistry, Gadjah Mada University, Yogyakarta, Indonesia.
Int J Paediatr Dent. 2012 May;22(3):203-10. doi: 10.1111/j.1365-263X.2011.01177.x. Epub 2011 Aug 24.
To assess the effectiveness of a school-based dental programme (SBDP) in controlling caries by measuring the relationship between the SBDP performance and caries experience in children aged 12 in Yogyakarta Province, Indonesia, by taking into account influencing factors.
A cross-sectional survey was undertaken of 1906 children participating in SBDPs. Four SBDPs were chosen by good and poor performances in urban and rural areas. Caries was assessed using WHO criteria whereas behaviour and socio-demographic factors were collected using a questionnaire administered to the children.
The decayed, missed, and filled teeth (DMFT) of children in good SBDPs (2.8 ± 2.4) was lower than that of the counterparts (3.8 ± 3.4). From path analysis using a structural equation model (SEM), place of residence (OR = 4.0) was shown to have a strongest direct relationship to caries experience, whereas SBDP performance showed no direct relationship. At the same time, SBDP performance was significantly related to frequencies of dental visits (OR = 0.3), sugar consumption (OR = 0.8), and tooth brushing (OR = 3.2), which in turn are interrelated with place of residence, gender, and mother's education.
The study suggests that the differences in DMFT of children in good and poor performance SBDPs were caused by relation to social factors rather than by relation to oral health service activities.
通过考虑影响因素，评估以学校为基础的口腔保健计划（SBDP）在控制龋齿方面的有效性，通过测量 SBDP 表现与印度尼西亚日惹省 12 岁儿童龋齿经历之间的关系来衡量。
对 1906 名参与 SBDP 的儿童进行了横断面调查。选择了四个 SBDP，它们在城市和农村地区的表现良好和表现不佳。龋齿使用 WHO 标准进行评估，而行为和社会人口统计学因素则使用问卷调查收集。
表现良好的 SBDP（2.8±2.4）的儿童的龋齿、缺失和填充的牙齿（DMFT）低于对照组（3.8±3.4）。使用结构方程模型（SEM）进行路径分析表明，居住地（OR=4.0）与龋齿经历有最强的直接关系，而 SBDP 表现与龋齿经历没有直接关系。与此同时，SBDP 表现与看牙医的频率（OR=0.3）、糖的消耗（OR=0.8）和刷牙（OR=3.2）有显著的相关性，而这些又与居住地、性别和母亲的教育程度有关。
该研究表明，表现良好和表现不佳的 SBDP 儿童之间的 DMFT 差异是由社会因素引起的，而不是由口腔保健服务活动引起的。
